Gynecological Cancers and Quality of Life

ABSTRACT Background: Every five minutes a woman in the United States receives a gynecological cancer diagnosis. On average, 88,128 women in the United States are diagnosed with gynecological cancer yearly and 12,158 of those women, or 7% require hospital readmission. Although patient readmission rate is relatively low for this population, a better understanding of how patients frame quality of life (QoL) may decrease readmission stemming from QoL complications. Objective: The aim of this study was to identify the QoL issues that contributed to hospital readmission following surgical intervention in women newly diagnosed with gynecological cancer. Method: The study used a qualitative explanatory single case study research design. Seven women with newly diagnosed gynecological cancer following surgical intervention and required hospital readmission were interviewed in depth, using a semi-structured interview guide. Results: This population defines QoL as independent mobility and the ability to perform household activities. Additional themes were identified related to mobility, physical and psychological impact, and communication contributing to hospital readmission. Conclusions: QoL factors contribute to hospital readmission for this population. Understanding how this population identifies QoL will aid in treatment and minimize hospital readmission. Implications for Practice: Six recommendations were created based on the findings: (a) implement physical therapy consultations before and after surgery, (b) implement early mobility protocols, (c) communication courses for healthcare providers, (d) support group listings, (e) specific discharge instructions, and (f) implement inpatient psychological evaluation and treatment program.